PlainNursing
CMS Nursing Home Compare · August 2026

Bethany on 42nd

4255 30th Ave S, Fargo, ND 58104

Bethany on 42nd, a 116-bed non profit - corporation nursing facility in Fargo, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #12 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7014788900

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5 / 5
Much above average · CMS overall · nat'l 3.0
#12 of 71
In-state rank among rated ND homes
5.19
Well above average · nurse hrs/day · nat'l 3.86
3
Inspection findings

The verdict

Bethany on 42nd, a 116-bed non profit - corporation nursing facility in Fargo, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #12 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall · national 3.0
#12 of 71
In-state rank among rated ND homes
5.19
Nurse hrs/resident-day · national 3.86
3
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 72 ND nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

5/5

Facility Information

Provider Number
355123
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
116
Residents
114
In Hospital
No
County
Cass
Last Inspection
Jul 23, 2026

Staffing Data

How the 5.19 total nursing hours per resident-day are staffed:

RN Hours
0.69 (nat'l avg: 0.69)
LPN Hours
0.79
CNA Hours
3.71
Total Nursing Hours
5.19 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
59.0%
RN Turnover
53.8%

What the CMS Record Reveals About Bethany on 42nd

According to CMS Nursing Home Compare, Bethany on 42nd ranks #12 of 71 rated nursing homes in ND on overall stars (tie-broken by health+staffing+quality, then fewer fines). Bethany on 42nd operates 116 certified beds in Fargo, ND with approximately 114 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 4★ · quality 3★).

The inspection file contains 3 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 5.19 total nursing hours per resident day (national average 3.86), with RN coverage at 0.69 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Bethany on 42nd falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 59.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (3 most recent)

D - Isolated - Minimal harm May 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 23, 2025

D - Isolated - Minimal harm Mar 14, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2024

E - Pattern - Minimal harm Mar 14, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 9.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.6% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Bethany on 42nd, both outside ND so the neighborhoods are not the same-state geography list below.

What the CMS records show for Bethany on 42nd

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The ND registry aggregates state averages and the highest-rated homes in this cohort. View ND registry
  • Peer homes near 116 beds show how CMS stars vary at a similar scale in ND. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Bethany on 42nd?
Bethany on 42nd has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (3★).
Where does Bethany on 42nd rank among nursing homes in ND?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Bethany on 42nd ranks 12th among 71 rated nursing homes in ND (#12 of 71). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Bethany on 42nd?
Bethany on 42nd reports 5.19 total nursing hours per resident day (national average: 3.86). RN hours are 0.69 per resident day (national average: 0.69). Nursing staff turnover is 59.0%.
How many beds does Bethany on 42nd have?
Bethany on 42nd has 116 certified beds with approximately 114 residents. The facility is located at 4255 30th Ave S, Fargo, ND 58104.
Does Bethany on 42nd have any deficiencies on record?
Yes, Bethany on 42nd has 3 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Bethany on 42nd received any fines or penalties?
No, Bethany on 42nd has no fines or penalties on record.
Who owns Bethany on 42nd?
Bethany on 42nd is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Bethany on 42nd last inspected?
The most recent health inspection for Bethany on 42nd was on Jul 23, 2026. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Bethany on 42nd?
Bethany on 42nd is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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